Inspection on 02/05/07 for Croft House

This inspection was carried out on 2nd May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Croft House 15/11/06

Croft House 07/02/06

Croft House 27/10/05

Croft House 30/11/04

Croft House 11/06/04

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 Croft House 155 Town Street Horsforth Leeds West Yorkshire LS18 5BL Lead Inspector Carol Haj-Najafi Key Unannounced Inspection 2nd May 2007 09:30 Croft House DS0000001440.V332609.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Croft House DS0000001440.V332609.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Croft House DS0000001440.V332609.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Croft House Address 155 Town Street Horsforth Leeds West Yorkshire LS18 5BL 0113 2580131 0113 2580131 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) jenkinlodge@st-annes.org.uk St Anne`s Community Services Mrs Diane Joan Barker Care Home 7 Category(ies) of Learning disability (7), Learning disability over registration, with number 65 years of age (1) of places Croft House DS0000001440.V332609.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th November 2006 Brief Description of the Service: St. Anne’s Shelter and Housing Action own Croft House, which is a listed building. It provides accommodation and care, without nursing, for up to seven people with a severe learning disability. It is situated in a pleasant residential area in Horsforth, very close to shops, pubs, a library, a health clinic, GPs, a pharmacy and churches. The home is accessed easily by public transport and has parking for two cars, one of which is a designated disabled space. The home is spacious providing accommodation over two floors, with one bedroom on the ground floor and six on the first floor. There are gardens to the front and rear of the building, with outdoor seating. Each person is provided with information about the home when they move in and they are given a copy of the service user guide and details of how much their placement costs. The scale of charges per week are between £843 and £924. Croft House DS0000001440.V332609.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. In April 2006 the Commission for Social Care Inspection (CSCI) made some changes to the way in which care services are inspected. Care services are now judged against outcome groups. The inspection report is divided into separate sections for each outcome group for example Choice of Home. An overall judgement is made for each outcome group based on the findings of the inspection. The judgements reflect how well the service delivers outcomes to the people using the service. The judgements categories are “excellent”, “good”, “adequate” and “poor”. The judgements are recorded within the main body of this report. More detailed information about these changes is available on our website – www.csci.org.uk. The last key inspection was carried out in November 2006. A pre-inspection questionnaire was completed by the home and this information was used as part of the inspection process. Surveys were sent to relatives and healthcare professionals, it was agreed with the manager that only one person who uses the service would be able to complete a survey and they would need support, therefore only one survey was sent out to people who use the service; responses from the surveys have been included in the inspection report. One inspector carried out a site visit which started at 9.30am and finished at 2.30pm. Feedback was given to the manager at the end of the visit. During the visit the inspector looked around the home, observed interaction between staff and people who use the service, spoke to a relative, staff and the manager. Discussions with people who use the service were only very brief. Care plans, risk assessments, healthcare records, meeting minutes, and staff recruitment and training records were looked at. What the service does well: Surveys that were returned were positive about the standard of care that is provided and the following are a sample of responses and comments: • The staff do a very good job • I can’t thank the manager and staff enough for the care they give • The care service always keeps relatives up to date with important issues • The care service helps the person who uses the service to keep in touch • The care service always meets the different needs of people • I am very happy with the care provided to my relative • People are very well cared for • People can do what they want during the day and on an evening • Each person is treated as an individual and care is tailored to this. Health professionals said the care service always seeks advice and acts upon it and individual’s healthcare needs are always met. Croft House DS0000001440.V332609.R01.S.doc Version 5.2 Page 6 The staff team work well together and everyone works hard to provide person centred care and to support people to achieve their goals, which helps maintain and develop skills. Staff have good knowledge about people who use the service and the type of care they need. These were consistent with what had been recorded in care plans and assessments. Croft House is homely, nicely decorated and furnished. It is very clean and well organised. People who use the service have lovely personalised rooms. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by Croft House DS0000001440.V332609.R01.S.doc Version 5.2 Page 7 contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Croft House DS0000001440.V332609.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Croft House DS0000001440.V332609.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2&5 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Previous inspections and procedures indicate that a thorough admission process is carried out before people are admitted to the service, making sure their needs are met. EVIDENCE: The people have lived at the home for over two years so there was very little evidence for many aspects of this outcome group. The admission process was looked at during previous inspections and the relevant National Minimum Standards were met. Each person who uses the service has been given a placement agreement that sets out the home’s terms and conditions and they have been given details of the fees charged for their placement. Croft House DS0000001440.V332609.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 & 9 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Everyone works hard to provide person centred care and to support people to achieve goals, which help maintain and develop skills. EVIDENCE: Three people’s care records were looked at. There were several different documents that provided information about care needs. There was good information in each plan of care and there was guidance on how individual needs should be met. For example one plan stated that the person chooses their own clothes but needs directing towards weather appropriate clothing. Another plan stated that the person would direct staff to the kettle or food cupboard if they wanted something to eat or drink. Other plans gave information about likes and dislikes, for example, ‘enjoys emptying the shopping bags and filling and emptying the dishwasher,’ ‘enjoys a bath on an evening,’ ‘baking sessions should be encouraged once a week’. Croft House DS0000001440.V332609.R01.S.doc Version 5.2 Page 11 Daily records confirmed that care plans were being followed and people had engaged in activities that were recommended in their plans of care. Staff had very good knowledge about people who use the service and their individual care needs. They were able to provide very specific details about how they looked after them. These were consistent with what had been recorded in care plans and assessments. Staff meetings are held once a month and care plan reviews are a regular agenda item. The reviews were detailed and the staff team had assessed if goals had been achieved and if changes to the care plan were required. Details of the reviews were recorded in each person’s file. Each person had an annual review in February or March 2007. As part of the reviewing process staff had prepared new care plans and gathered information from families and day services. Care plans and a future action plan were agreed at the review meetings, which were attended by the person, their family, staff from the home and day service staff. Staff and the manager talked about the action plans and were familiar with each person’s individual goals, and they gave examples of how they had supported people to achieve them. Staff talked about keyworker and co-worker roles and responsibilities and understood who was responsible for completing different tasks. Staff said people were encouraged to make decisions but because they have high levels of dependency staff often have to make some decisions on their behalf. Staff gave examples of decisions that were made by people who use the service and this included going to bed, where to go and what to do in the house. Care plans also contained details of what decisions people could make. For example one plan stated ‘can state preferences with regards to food’. Croft House DS0000001440.V332609.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 & 17 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People who use the service have an active and fulfilling lifestyle. Relatives are very happy with the quality of the service. EVIDENCE: Surveys that were returned were positive about the standard of care that is provided and the following are a sample of responses and comments: • The care service always keeps them up to date with important issues • The care service helps their relative keep in touch • The care service always meets the different needs of people • I am very happy with the care • People are very well cared for • People can do what they want during the day and on an evening Croft House DS0000001440.V332609.R01.S.doc Version 5.2 Page 13 One survey stated that staffing levels do not always permit people to go out when they would like to. Staff said generally people get opportunities to go out and have 1-1 time with staff. The manager had recently recruited a new member of staff and was waiting for them to start; she said that having an additional member of staff in post would create more opportunities for people to go out. Daily records for the last four weeks were looked at for three people. There was evidence of family contact, health appointments and varied bedtimes and times for getting up. They had all been out with staff and had also participated in recreational activities, which included shopping trips, meals out, hydrotherapy sessions, manicures, visit to the hairdressers, out for drives in the car, gardening and out for walks. On the day of the inspection three people had gone to Knowsley Safari Park for the day. People who use the service were not at the home for most of the time the inspection was being carried out. The home has a minibus that people use. Some people pay £56 a month others pay £16 towards the cost of the vehicle. Transport records identified how often the vehicle was used but not the people that travelled in the vehicle, therefore it is not possible to monitor if they are getting an equitable service or value for money. The manager said on occasions some people may pay for taxis and this could be because there is not a driver available. The registered provider must be able to account for mobility payments and demonstrate that people are getting value for money and an equitable service. Each person has a set day when staff support them to do their washing, clean their room and change their bedding. Staff said the level of support varied and some people who use the service would be present but they were unable to do the majority of the tasks but others could take more of an active part. Care plans identified what people could do and daily records confirmed that staff followed this guidance. The activity room had a lot of different equipment including musical instruments, sensory equipment, games and a piano. The quiet room had a computer which was regularly used by people who use the service. Meals are planned on a daily basis. Staff on shift look at what food is available and what meals have been served over recent days to make sure the menu is not repetitive. The manager checks the food records to make sure meals are nutritionally balanced and varied. Staff and the manager said the meal system worked well. Two weeks food records were looked at and these were varied and nutritious. Staff said they occasionally do theme nights to ensure people have an opportunity to experience food from different countries. Croft House DS0000001440.V332609.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The home has good systems in place to make sure people receive the right support from healthcare professionals. Medication administration records have not been carefully completed which could result in unsafe medication administration. EVIDENCE: Two healthcare surveys were returned. The surveys were positive and the following responses and comments were included: • • • • • The care service always seeks advice and acts upon it. Individuals’ healthcare needs are always met Individuals’ privacy and dignity are always respected Staff usually have the right skills and experience The service always responds differently to the different needs of individuals DS0000001440.V332609.R01.S.doc Version 5.2 Page 15 Croft House • Each person is treated as an individual and care is tailored to this. Each file had a health summary section. This provided details of any recent healthcare appointments. One sheet confirmed the person had seen a dentist, an optician, a nurse, a psychiatrist and a specialist in the last four months. Individual weight records were also maintained. Weight gains or losses were recorded. A significant fluctuation in weight had been noted and staff had consulted healthcare professionals for advice. Daily records stated that people had attended healthcare appointments within the last four weeks. Since the last inspection, medication care plans have been introduced for each person. These have been discussed and signed by GPs. Medication storage and medication records were looked at. Start dates on the medication administration records were unclear. The record stated that the start date was 16 April but the actual start date was 30 April. The medication records came from the pharmacy supplying the medication and directions for administration were mostly typed but staff had hand written some medication. The hand written entries had errors and did not comply with medication policies. One entry was spelt incorrectly and did not provide any instructions for administration. The home uses a weekly dispensing system that is made up by the chemist and the back of the medication box contains information about the contents. Staff had added cod liver oil tablets to one container, therefore the number of tablets did not correspond with the number of tablets written on the back of the box. Another container had medication in the 10:00pm slot but the medication record stated that it was administered at 6:00pm. Croft House DS0000001440.V332609.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Relatives are aware of how to complain if they are unhappy with the standard of service, which helps safeguard people who use the service. EVIDENCE: Relative surveys stated they know how to make a complaint and if they have raised concerns the response has always been appropriate. The manager said the home had not received any complaints within the last twelve months. The home has a complaint’s book to record any complaints and a copy of the procedure was available in the home. The pre inspection questionnaire confirmed that the home has a complaint’s and an adult protection procedure. The manager was fully aware of the adult protection procedure and how to report any allegations of abuse. Staff and the manager have attended adult protection training. Personal allowance records were looked at. All financial transactions were recorded and receipts were obtained for any purchases made. Each person had a care plan that identified how their finances should be managed. For example one care plan stated that the manager was the appointee, receipts must be Croft House DS0000001440.V332609.R01.S.doc Version 5.2 Page 17 obtained for all purchases, and the person should be encouraged to make payments when buying items from the shop. Croft House DS0000001440.V332609.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26, 27, 28, 29 & 30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The home is pleasant, well maintained and people who use the service are very comfortable in their surroundings. EVIDENCE: A tour of the building was carried out. All bedrooms, communal areas and bathrooms were visited. The home was clean and tidy and there were no odours. Decoration, furniture and furnishings were of a good standard. The garden was well maintained and a very pleasant area that people can safely use. Bedrooms were personalised and each room had items that reflected individual preferences. Photographs of family and friends had also been mounted on the wall. This is good practice and demonstrates that everyone is encouraged to make their rooms homely. Croft House DS0000001440.V332609.R01.S.doc Version 5.2 Page 19 The manager said maintenance workers visit on a regular basis and prior to each visit staff carry out a tour of the building and identify any necessary work. No maintenance problems were seen during the tour. There was a supply of disposable gloves and wipes throughout the home. Croft House DS0000001440.V332609.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35 & 36 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The staff team work well together and everyone works hard to provide good individual care. Staff feel well supported and systems are in place to make sure everyone receives the right training and supervision to ensure people’s needs can be met. EVIDENCE: Surveys were positive about management and staff and the following are a sample of responses and comments: • The staff do a very good job • I can’t thank the manager and staff enough for the care they give • Staff have the right skills and experience • There is stable managers and staff • There is a caring attitude Croft House DS0000001440.V332609.R01.S.doc Version 5.2 Page 21 The home has a low turnover of staff and most staff have worked at the home for a number of years. Staff at the home had a good knowledge of the people who use the service and were able to provide information about their likes and dislikes. Staff meetings are held once a month. Staff said these were good opportunities to discuss anything that was relevant to the home. The minutes from the meetings were detailed and a good source of information for staff who were not present. Staff said that everyone had clear roles and responsibilities and they understood other people’s roles and responsibilities. Guidelines for staff and routines of the home have been produced; staff said these were good and they were followed at each shift. There have been no changes to the staff team since the last inspection. One staff had been interviewed and recommended for the post but the manager said they still had to get some more information before the person could start. The home has demonstrated that it carries out a through recruitment process at previous inspections. The pre inspection questionnaire confirmed that relevant polices and procedures were available. The management team have produced a file for any bank/agency staff that work at the home. It contains emergency contacts and a summary of care needs for each person. The information is good and people who are not familiar with the service should be able to understand the basic routines of the home. A list of training courses that staff have attended in the last twelve months was sent with the pre inspection questionnaire which included; Health and Safety, Food hygiene, Recruitment and selection, Emergency aid, Adult protection, Autism awareness, Promote equality, diversity and rights, Epilepsy awareness and N.V.Q. The manager said they are working towards achieving 50 of care staff holding an NVQ level 2 award. The manager has also produced a training plan that identifies individual training needs for all staff. Croft House DS0000001440.V332609.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39 & 42 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The manager has good leadership skills and promotes a high standard of care. Good systems are in place to measure the overall quality of the service. EVIDENCE: The manager has worked at the home for over three and a half years. Staff said they thought the home was well managed. The manager discussed various management systems that she has used to monitor the quality of care and this included spending time with staff and people who use the service and checking various records. The manager and deputy have completed the NVQ level 4 in management and care. Croft House DS0000001440.V332609.R01.S.doc Version 5.2 Page 23 It is difficult to obtain the views of the people living at the home because they have severe learning disabilities and very limited communication. The manager said relatives had completed satisfaction surveys at the beginning of the year. Once a month the area manager visits the home and looks at the general conduct, these visits are called Regulation 26 visits. The manager confirmed the visits were completed regularly. The monthly reports were looked at during the inspection. The pre inspection questionnaire stated that policies and procedures were available and regular maintenance and health and safety checks by external agencies were completed at the home. Electrical appliances should be checked periodically to make sure they are safe. Many appliances did not have stickers on them to confirm they had been checked and many others had stickers on that stated the date for re-testing was November 2006. Croft House DS0000001440.V332609.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 3 3 X X 3 X Croft House DS0000001440.V332609.R01.S.doc Version 5.2 Page 25 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA13 Regulation 17 12 16 Requirement The registered provider must look at the transport arrangements to make sure charges to people who use the service are recorded, equitable and value for money. Timescale for action 30/06/07 2. YA20 13 3. YA42 13 Medication and directions for 30/06/07 administration must correspond to make sure people who use the service receive the correct medication at the correct time. Electrical appliances must be 30/06/07 checked regularly to make sure they are safe. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA32 Good Practice Recommendations 50 of care staff should hold an NVQ level 2 or equivalent Croft House DS0000001440.V332609.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Croft House DS0000001440.V332609.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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